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Reproduction: Exemplar 33.E
Prematurity Questions and Answers
Already Passed
After giving birth to a preterm infant who is being cared for in the neonatal intensive care unit (NICU), a client says, "My baby doesn't seem real because she's in the hospital and I'm at home." What can the nurse do to promote parent-infant attachment?
A) Limit visits to the intensive care unit so as not to disrupt care the baby needs.
B) Explain that once the baby is discharged to home, she will have evidence that the baby is real.
C) Have the mother visit when the baby is asleep or resting.
D) Provide a picture of the infant including a footprint and current weight and length. ✔✔D
The mother of a preterm infant tells the nurse that she was not looking forward to having a baby and now that the baby is sick, she feels worse. Which nursing diagnosis is appropriate based on this data?
A) Parental Role Conflict
B) Impaired Parenting
C) Dysfunctional Family Processes
D) Compromised Family Coping ✔✔D
When planning the care for a preterm infant with ineffective thermoregulation, the nurse should include which intervention?
A) Keep the baby's head uncovered.
B) Rinse hands with cold water before providing care to the infant.
C) Place incubator near a window or source of fresh air.
D) Allow skin-to-skin contact with the mother to maintain warmth. ✔✔D
The nurse is instructing the parents who delivered their first child at 34 weeks' gestation. Which statements made by the parents indicate that additional teaching is needed? Select all that apply.
A) "Tube feedings will be required because his stomach is small."
B) "Breathing might be harder for our baby because he is early."
C) "Our baby will be in an incubator to keep him warm."
D) "The growth of our baby will be slower than if he were term."
E) "Because he came early, he will not produce urine for 2 days." ✔✔AE
The nurse is monitoring the intake and output for a preterm infant. Which action by the nurse indicates correct assessment technique when monitoring urine output?
A) Document "unable to obtain" on the graphic sheet.
B) Apply an external condom catheter.
The nurse is assessing a premature newborn who is being cared for in the newborn intensive care unit (NICU). Which assessment finding indicates the newborn is experiencing respiratory distress?
A) Acrocyanosis
B) Respiratory rate of 58 breaths per minute
C) Substernal and intercostal retractions
D) Abdominal breathing ✔✔C
Which factor contributes to increased respiratory complications in the preterm infant?
A) Increased constriction of blood vessels
B) Decreased prostaglandin E levels
C) Absence of muscular coat on pulmonary blood vessels
D) Inadequate surfactant ✔✔D
Because of the immature development of the kidney, the nurse needs to assess preterm infants for what condition?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Respiratory acidosis
D) Respiratory alkalosis ✔✔A
A premature newborn's neuronal immaturity may contribute to what complication?
A) Apnea of prematurity
B) Patent ductus arteriosus
C) Respiratory distress syndrome
D) Anemia of prematurity ✔✔A
